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For the most up-to-date Primary/Preferred Drug List visit www.caremark.com
The Caremark Primary/Preferred Drug List is a guide within select therapeutic categories for clients and their plan participants.Generics should be considered the first line of prescribing. If there is no generic available, there may be more than one brand name medicine to treat a condition. These preferred brand name medicines are listed to help identify products that areclinically appropriate and cost-effective. Generics listed in therapeutic categories are for representational purposes only and notmeant to be all-inclusive. This list represents brand products in CAPS and generic products in lower case italics.PLAN PARTICIPANTHEALTHCARE PROVIDER
Your benefit plan provides you with a prescription benefit program
Your patient is covered under a prescription benefit plan administered by
administered by Caremark. Ask your doctor to consider prescribing, when
Caremark. As a way to help manage healthcare costs, authorize generic
medically appropriate, a preferred medicine from this list. Take this list
substitution whenever possible. If you believe a brand name product is
along when you or a covered family member sees a doctor.
necessary, consider prescribing a brand name on this list.Please note:Please note:
■ Your specific prescription benefit plan design may not cover certain
■ Generics should be considered the first line of prescribing.
categories, regardless of their appearance in this document.
■ This drug list is not inclusive nor does it guarantee coverage, but
■ For specific information regarding your prescription benefit coverage and
represents a summary of prescription coverage.
co-pay1 information, please visit our Web site at www.caremark.com
■ The plan participant’s specific prescription benefit plan may have
or contact a Caremark Customer Care representative.
a different co-pay1 for specific products on the list.
■ Caremark may contact your doctor after receiving your prescription to
■ Unless specifically indicated, drug list products will include all
request consideration of a drug list product or generic equivalent. This
may result in your doctor prescribing, when medically appropriate, a
■ Log in to www.caremark.com to check coverage and co-payments1
different brand name product or generic equivalent in place of your
§ MISCELLANEOUSCHOLESTEROL ABSORPTION§ ACE INHIBITOR/CALCIUM CHANNELINHIBITORSANTIBACTERIALSDIURETIC COMBINATIONSBLOCKER/ANTILIPEMICCOMBINATIONS§ CEPHALOSPORINS§ FIBRATES§ ANTIFUNGALS§ DIGITALIS GLYCOSIDES§ HMG-CoA REDUCTASE§ ERYTHROMYCINS/INHIBITORSMACROLIDES§ DIURETICSANTIVIRALSACE INHIBITOR/CALCIUM§ HERPES AGENTSCHANNEL BLOCKERS§ FLUOROQUINOLONES§ INFLUENZA AGENTSANGIOTENSIN II § BETA-BLOCKERSRECEPTOR ANTAGONISTS/COMBINATIONS§ PENICILLINS§ ACE INHIBITORSANTILIPEMICSANTIDEPRESSANTS§ MISCELLANEOUS AGENTSANTILIPEMIC COMBINATIONS§ CALCIUM CHANNELBLOCKERS§ BILE ACID RESINS§ TETRACYCLINESYour specific prescription benefit plan design may not cover certain categories, regardless of their appearance in this document.§ SELECTIVE SEROTONININSULIN SENSITIZERSESTROGENS§ URINARYLEUKOTRIENE RECEPTORREUPTAKE INHIBITORSANTISPASMODICSANTAGONISTSINSULIN SENSITIZER/BIGUANIDE COMBINATIONSNASAL ANTIHISTAMINES§ NASAL STEROIDSINSULIN SENSITIZER/SULFONYLUREA§ TRANSDERMAL,SEROTONINCOMBINATIONSESTROGENSNOREPINEPHRINE§ ANTICOAGULANTSREUPTAKE INHIBITORSMEGLITINIDES(SNRIs) 3STEROID/BETA AGONISTS§ SULFONYLUREASORAL ESTROGEN/ANAPHYLAXIS TREATMENTSTEROID INHALANTSPROGESTINSMIGRAINESELECTIVE SEROTONINAGONISTS § SULFONYLUREA/BIGUANIDE COMBINATIONS§ PROGESTINS§ ANTICHOLINERGICSDERMATOLOGYANTICHOLINERGIC/ SUPPLIESMULTIPLE SCLEROSISSELECTIVE ESTROGENBETA AGONISTSRECEPTOR MODULATORS§ THYROID SUPPLEMENTSANTIHISTAMINES,LOW SEDATINGBISPHOSPHONATESANDROGENS§ ANTIHISTAMINES,OPHTHALMICNONSEDATING§ H2 RECEPTOR ANTAGONISTS fexofenadine§ BETA-BLOCKERS,ANTIDIABETICSNONSELECTIVE§ BIGUANIDES§ ANTIHISTAMINE/CONTRACEPTIVES§ PROTON PUMPDECONGESTANTS§ MONOPHASICINHIBITORSBETA-BLOCKERS, SELECTIVEINSULINSBETA AGONISTSPROSTAGLANDINS§ TRIPHASIC§ SHORT ACTING§ EXTENDED CYCLE§ BENIGN PROSTATICHYPERPLASIA§ SYMPATHOMIMETICSTRANSDERMALLONG ACTINGQUICK REFERENCE PRIMARY/PREFERRED DRUG LISTYour specific prescription benefit plan design may not cover certain categories, regardless of their appearance in this document.FOR YOUR INFORMATION: Generics should be considered the first line of prescribing. This Caremark Drug List is not inclusive nor does it guarantee coverage, but represents asummary of prescription coverage. Specific prescription benefit plan design may not cover certain categories, regardless of their appearance in this document. The plan participant'sprescription benefit plan may have a different co-pay1 for specific products on the list. Unless otherwise indicated, drug list products will include all dosage forms. This list representsbrand products in CAPS and generic products in lower case italics. Generics listed in therapeutic categories are for representational purposes only and are not meant to be all-inclusive.Listed products may be available generically in certain strengths or dosage forms. Dosage forms on this list will be consistent with the category and use where listed. Log in towww.caremark.com to check coverage and co-payments for a specific medicine.
§ Generics are available in this class and should be considered as the first line of prescribing.
1 Co-payment or co-pay means the amount a plan participant is required to pay for a prescription in accordance with a Plan, which may be a deductible, a percentage of the
prescription price, a fixed amount or other charge, with the balance, if any, paid by a Plan.
2 Atacand should be reserved for patients who meet CHARM (Candesartan in Heart Failure - Assessment of Reduction in Mortality and Morbidity) trial criteria.3 Indicates the proposed mechanism of action, based on the American Psychiatric Association Summary of Treatment Recommendations.4 Higher co-payments may apply depending on the plan participant's specific prescription benefit plan. Log in to www.caremark.com to find the co-payment under a specific plan.5 An Accu-Chek or OneTouch blood glucose meter will be provided at no charge by the manufacturer to those individuals currently using a meter other than Accu-Chek or OneTouch.
For more information on how to obtain a blood glucose meter, call toll-free: 1-800-588-4456.Your privacy is important to us. Our employees are trained regarding the appropriate way to handle your private health information.Caremark may receive rebates, discounts and service fees from pharmaceutical manufacturers for certain listed products.This Caremark Drug List contains prescription brand name medicines that are registered or trademarks of pharmaceutical manufacturers that are not affiliated with Caremark Inc.Listed products are for informational purposes only and are not intended to replace the clinical judgment of the prescriber.
2007 Caremark Inc. All rights reserved.www.caremark.com